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Job Details

Eligibility Specialist

  2026-02-09     Pride Global     all cities,AK  
Description:

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#RTA
Russell Tobin's client a health insurance company is hiring Eligibility Specialists in Phoenix AZ.

Job Title: Community Assistor - Medicaid/Eligibility Specialist

Department: Medicaid

Location: Phoenix, AZ (remote)

Pay Rate:$19 - 20.85hr.

FLSA Status: Exempt / Nonexempt

Schedule: Full-time (40+ hours per week; evenings and weekends as needed)

Job Type: Contract

We are seeking a Community Assistor (Eligibility Specialist) to support Medicaid members through application renewals, outreach, and enrollment activities. This role focuses on ensuring a positive member experience, assisting with eligibility processes, and strengthening relationships with community partners.

  • Level 1 - Eligibility Specialist (Grade 9):
    Conducts HEAplus application renewals with current members during interactive interviews, supporting member retention efforts.
  • Level 2 - Senior Eligibility Specialist (Grade 10):
    Leads and assists in planning, developing, and organizing community outreach events and activities that drive enrollment and engagement.
Key Responsibilities
  • Conduct HEAplus application renewals and assist members in completing required forms and documentation.
  • Uphold member care standards and maintain confidentiality of personal information.
  • Build and foster relationships with community organizations and referral sources.
  • Represent company Medicaid programs at community events and outreach initiatives.
  • Communicate complex processes in a clear, step-by-step manner for members.
  • Maintain professional relationships with internal and external partners.
  • Submit required reports and summaries on processed applications.
  • Maintain a secure, private workspace for handling member information.
  • Perform additional duties as assigned.
Qualifications

Required
  • Experience (Level 1):
    • 1 year of telephonic customer service experience
    • 1 year of experience in outreach, marketing, or community relations
  • Experience (Level 2):
    • 1 year of telephonic customer service experience
    • 3 years of experience in outreach, marketing, or health plan services
  • Education:
    • High School Diploma or GED
  • Licenses:
    • Valid Arizona Driver's License with an acceptable driving record
Preferred
  • Experience with AHCCCS/Medicaid, CHIP, health promotion, social services, or related fields
  • Bilingual in English and Spanish
Skills & Competencies
  • Strong customer service and communication skills (verbal and written)
  • Ability to multitask and manage time effectively in a fast-paced environment
  • Proficiency with Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
  • Strong interpersonal, organizational, and presentation skills
  • Ability to work independently while meeting deadlines and performance goals
  • Understanding of Medicaid and Medicare regulations and guidelines
  • Comfortable working evenings and weekends as needed
  • Ability to lift up to 25 pounds


Work Environment

This is a full-time position requiring at least 40 hours per week, plus additional hours as needed.

A dedicated, private work area is required to ensure confidentiality of sensitive member information.

Benefits that Russell Tobin offers:

Russell Tobin offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.


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